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Morbid obesity

What is bariatric surgery?

Morbidly obese patients who undergo bariatric surgery can lose between 30 and 50% of their initial weight.

Once the ideal weight is reached, the skin retracts, but not proportionally to the weight lost, and hanging folds appear throughout the body, especially the abdomen, buttocks, and arms. To remove all that excess skin, there are various procedures such as abdominoplasty, mastopexy, arm lift and inner thigh lift that must be performed at different surgical times. Although some procedures may overlap depending on the state and constitution of the patient.

The star of the procedures is the bodylift that is performed with a circular cut at the waist level, correcting in a single procedure the excess skin on the abdomen, holsters and buttocks with the possibility of filling the gluteal area with autologous tissue to give more enhancement. .

 
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In consultation

On the first visit, the patient will be evaluated by the medical team to assess the general condition, the accumulation of fat in the body and skin tone.

It is very important the mutual sincerity between the patient and his surgeon, to be able to expose the expectations frankly, so that the surgeon explains the alternatives and the possibilities of your case without deception and false promises.

In some patients it will be necessary to associate it with liposuction that improves the body silhouette in a more harmonious way. During the consultation, you will also be explained in detail the type of anesthesia that will be used, the surgical time of the intervention, the time that you will spend in the clinic, the visits and controls that will be made in the consultation, as well as the postoperative process. and finally the cost of surgery to treat morbid obesity.

 

Duration of interventions

The day of the intervention you will enter the hospital and a person from our team will be waiting to accompany you to his room. You will go down to the operating rooms, where in an intimate environment you will be attended by the doctor. In this room, surgical marking is performed and, later, you will be administered a sedative so that you can go to the operating room very relaxed.

The duration of the interventions is variable:

  • Dermolipectomy (surgery of the abdomen): 2 to 3.30 hours
  • Thigh lift: 2 to 3 hours
  • Brachioplasty (arm lift): 2 to 3 hours
  • Mastopexy (breast lift): 1 to 2 hours
  • Gynecomastia: 1 hour

Once the intervention is over, you will go to the resuscitation room where you will be watched by an anesthetist and cared for by a nurse until they consider that you are fit to go to the room.

You can start eating food gradually 6-8 hours after the end of the intervention.

You will be discharged after 24 or 48 hours depending on the procedure.

 

After the intervention

You will have to wear a compression bandage (girdle) for a month.

At 24-48 hours you can shower and you must keep relative rest for at least 3 weeks. Post-surgical controls will be weekly the first month, then we will visit you again at 2 months, 6 months and one year. This does not exclude that the patient can be visited at any time he needs.

Patients will wear antibiotic coverage for a week, and must take anti-inflammatories and pain relievers to make the pain very bearable.

 

The results

During the first days, discomfort and pain may be noticed that are perfectly controlled with the prescribed medication.

Depending on the procedure that is carried out, you will be able to join your usual tasks in about 15 or 20 days, and you will not have to make physical effort until the month of surgery. The scars will be noticeable during the first 3 to 5 months, of a red-vinous color and it will not be until 9/12 months that they become lighter and flatter.

It is worth mentioning some possible complications such as hematomas, seromas, infections and tissue necrosis that must be evaluated and corrected in the postoperative period.